| NPI | 1508865239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 75961) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 59968) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2024010352) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036134633) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10410200) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U8492) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 33242) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 70066) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 75961) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133591) | |
| 207R00000X Internal Medicine (Licence: NC 2004-01666) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD486985) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 29321) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01090406A) | |
| 207R00000X Internal Medicine (Licence: IL 036134633) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-10-09 |